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EP0366292B1 - Uteriner Balloninjektor mit einem Kanal - Google Patents

Uteriner Balloninjektor mit einem Kanal Download PDF

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Publication number
EP0366292B1
EP0366292B1 EP89310241A EP89310241A EP0366292B1 EP 0366292 B1 EP0366292 B1 EP 0366292B1 EP 89310241 A EP89310241 A EP 89310241A EP 89310241 A EP89310241 A EP 89310241A EP 0366292 B1 EP0366292 B1 EP 0366292B1
Authority
EP
European Patent Office
Prior art keywords
elongated member
fluid communication
opening
fluid
passageway
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
EP89310241A
Other languages
English (en)
French (fr)
Other versions
EP0366292A3 (de
EP0366292A2 (de
Inventor
Konstantin L. Valtchev
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of EP0366292A2 publication Critical patent/EP0366292A2/de
Publication of EP0366292A3 publication Critical patent/EP0366292A3/de
Application granted granted Critical
Publication of EP0366292B1 publication Critical patent/EP0366292B1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • A61M31/005Devices for introducing or retaining media, e.g. remedies, in cavities of the body for contrast media
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/14Female reproductive, genital organs
    • A61M2210/1425Uterine tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/14Female reproductive, genital organs
    • A61M2210/1433Uterus

Definitions

  • the present invention relates generally to a uterine injector, and more particularly to a single channel balloon-type uterine injector.
  • This instrument consists of two channels, one for injection of dye or x-ray contrast medium, and the second for inflating a balloon inside the uterine cavity. This structure seals the external os and prevents leaking.
  • the disadvantages of the cannula with balloon instrument is its cumbersome construction and its high cost.
  • US-A-3,817,248 discloses a self-powered device for the continuous and controlled release of an agent, such as drugs, into the uterine cavity, for example.
  • the self powering is achieved by the use of a pressure distendable receptacle communicating with a discharge port.
  • the present invention relates to an apparatus for injection of dye or contrast medium into a uterine cavity.
  • An elongated member having a first and a second end and an intermediate portion has a liquid impervious expandable tube disposed around it and is sealed on each end thereof to the exterior thereof.
  • a first fluid passageway extends from one end of the elongated member to a barrier and another fluid passageway extends from the other end of the elongated member to the barrier.
  • a first opening in the elongated member allows fluid communication between the first passageway and the inside of the balloon tube and a second opening in the elongated member provides fluid communication between the second fluid passageway and the inside of the balloon tube.
  • the second opening is substantially smaller in cross-sectional area than the first opening whereby fluid pressure applied to the first passageway will remain substantially higher than the pressure in the second fluid communication passageway, whereby fluid pressure within the tube will cause it to expand to seal against the inner wall of the uterine cavity, while at the same time fluid will flow sequentially from the first fluid communication passageway, through the first opening, through the expanded tube, through the second opening, through the second communication passageway and out through a discharge opening structure on one end of the second fluid communication passageway.
  • An object of the present invention is to provide an improved uterine injector.
  • a further object of the present invention is to provide an improved uterine injector which is simpler to use than the prior art uterine injectors.
  • a further object of the present invention is to provide a uterine injector which is dependable to use and which is economical to produce.
  • FIG. 1 shows a uterine injector apparatus (10) constructed in accordance with the present invention.
  • Attachment (11) which fits inside the head of a Valtchev uterine mobilizer, connects a source of liquid dye or liquid x-ray contrast medium to a source of such dye or x-ray medium under high pressure.
  • the attachment (11) is in fluid communication with an elongated member (12).
  • a first fluid communication passageway (13) extends from the passageway (14) in the attachment (11) to a barrier (15).
  • a second fluid communication passageway (16) extends from the barrier (15) to the other end of the elongated member (12).
  • the extreme other end of the elongated member (12) has a plug (17) in the end thereof to force liquid through openings (18).
  • the plug (17) also causes a smooth end on the elongated member (12) to prevent damage to the patient.
  • the passageway (13) has a sidewall opening (23) therein and the passageway (16) has an opening (26) therein.
  • a tubular balloon-like member (20) is bonded in a groove to the elongated member (12) at each end thereof as can readily be seen in Fig. 5, but the center portion of the tube (20) is not bonded to the elongated member (12).
  • the elongated tube (20) is of course sealed and is imperforate to the passage of fluids therethrough. It can be made of silicone rubber or the like.
  • a dye or x-ray contrast medium (21) is injected through the passageway (13).
  • the fluid (21) enters the balloon cavity through the opening (23) and distends the balloon to the position shown in Fig. 6.
  • the distended balloon or tube (20) seals the exit from the uterine cavity (22).
  • the fluid (21) then enters from the balloon cavity (24) (Fig. 5) through a very small opening (26), which is several times smaller than the cross sectional size of the opening (23), and then the flow goes into the passageway (16) and out through sidewall openings (18), where it enters the uterine cavity and the the fallopian tubes.
  • the opening (26) has a 0.1 mm diameter round opening and the opening (23) has a diameter of 2.0 mm in a round opening.
  • a 20 ml syringe is used to inject the fluid into the passageway (13).
  • FIG. 7 embodiment 10′ operates just like embodiment 10 except that opening 26′ communicates passageway 16 directly with passageway 13.
  • the diameter of 26′ is much smaller than opening 23 so that it forms a restriction so that the balloon 20 will inflate as flow goes through passageway 26′.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Claims (5)

  1. Vorrichtung zur Injektion eines Farbstoffes oder eines Kontrastmittels in den Hohlraum eines Uterus', mit:
    einem länglichen Element (10) mit einem ersten Ende, einem zweiten Ende und einem Zwischenbereich zwischen dem ersten und zweiten Ende;
    einem flüssigkeitsdichten expandierbaren Schlauch (20), der um das längliche Element (10) herum angeordnet ist und an jedem Ende davon mit dem äußeren Bereich des länglichen Elements (10) dichtend verbunden ist, wobei sich der Schlauch über den Zwischenbereich des länglichen Elements (10) erstreckt;
    einem ersten Mittel (13) zum Ausbilden eines ersten Flüssigkeitsdurchgangs von dem ersten Ende zu dem Zwischenbereich des länglichen Elements (10);
    einem zweiten Mittel (16) zum Ausbilden eines zweiten Flüssigkeitsdurchgangs von dem Zwischenbereich zu dem zweiten Ende des länglichen Elements (10);
    wobei das erste Ende des länglichen Elements (10) dazu ausgelegt ist, eine Quelle von unter Druck stehendem flüssigem Farbstoff oder Kontrastmittel aufzunehmen;
    einer ersten Öffnung (23) in dem länglichen Element (10), die mit dem ersten Flüssigkeitsdurchgang (13) mit dem Inneren des Schlauchs (20) in Strömungsverbindung ist;
    einer zweiten Öffnung (26) in dem länglichen Element, die mit dem zweiten Flüssigkeitsdurchgang (26) und mit dem Inneren des Schlauchs (20) in Strömungsverbindung ist;
    einem Sperrmittel (15), das im Inneren des länglichen Elements (10) angeordnet ist, um eine direkte Strömungsverbindung zwischen dem ersten und zweiten Flüssigkeitsdurchgang (13,16) zu verhindern; und
    mit einem Auslaßmittel (18), das im zweiten Ende des länglichen Elements angeordnet ist, um es dem Fluid im zweiten Flüssigkeitsdurchgang (16) zu ermöglichen, durch dieses auszutreten;
    wobei der Querschnittsbereich der zweiten Öffnung (26) wesentlich kleiner ist als der der ersten Öffnung (23), wodurch der Flüssigkeitsdruck im Inneren des Schlauchs (20) wesentlich höher sein wird als der Druck in dem zweiten Flüssigkeitsdurchgang (16), wodurch der Flüssigkeitsdruck in dem Schlauch diesen dazu veranlassen wird, sich dichtend gegen den inneren Wandbereich des Uterus anzulegen, während zur gleichen Zeit Flüssigkeit der Reihe nach von dem ersten Flüssigkeitsdurchgang (13) durch die erste Öffnung (23), durch den expandierten Schlauch (20), durch die zweite Öffnung (26), durch den zweiten Flüssigkeitsdurchgang (16) und durch das Auslaßmittel (18) fließen wird.
  2. Vorrichtung zur Injektion eines Farbstoffes oder eines Kontrastmittels in den Hohlraum eines Uterus', mit:
    einem länglichen Element (10) mit einem ersten Ende, einem zweiten Ende und einem Zwischenbereich zwischen dem ersten und zweiten Ende;
    einem flüssigkeitsdichten expandierbaren Schlauch (20), der um das längliche Element (10) herum angeordnet ist und an jedem Ende davon mit dem äußeren Bereich des länglichen Elements (10) dichtend verbunden ist, wobei sich der Schlauch (20) über den Zwischenbereich des länglichen Elements (10) erstreckt;
    einem ersten Mittel (13) zum Ausbilden eines ersten Flüssigkeitsdurchgangs von dem ersten Ende zu dem Zwischenbereich des länglichen Elements (10);
    einem zweiten Mittel (16) zum Ausbilden einer zweiten Flüssigkeitsdurchgangs von dem Zwischenbereich zu dem zweiten Ende des länglichen Elements (10);
    wobei das erste Ende des länglichen Elements (10) dazu ausgelegt ist, eine Quelle von unter Druck stehendem flüssigem Farbstoff oder Kontrastmittel aufzunehmen;
    einer ersten Öffnung (23) in dem länglichen Element (10), die mit dem ersten Flüssigkeitsdurchgang (13) mit dem Inneren des Schlauchs (20) in Strömungsverbindung ist;
    einer zweiten Öffnung (26') in dem länglichen Element (10), die mit dem zweiten Flüssigkeitsdurchgang (16) und mit dem ersten Flüssigkeitsdurchgang (13) in Strömungsverbindung ist; und
    mit einem Auslaßmittel (18), das im zweiten Ende des länglichen Elements (10) angeordnet ist, um es dem Fluid im zweiten Flüssigkeitsdurchgang (16) zu ermöglichen, durch dieses auszutreten;
    wobei die zweite Öffnung (26') einen wesentlich kleineren Querschnittsbereich aufweist als die erste Öffnung (23), wodurch der Flüssigkeitsdruck im Inneren des Schlauches (20) wesentlich höher sein wird als der Druck in dem zweiten Flüssigkeitsdurchgang (16), wodurch der Flüssigkeitsdruck in dem Schlauch denselben dichtend gegen die Innenwandung des Uterus anlegen wird, während zur gleichen Zeit Flüssigkeit der Reihe nach von dem ersten Flüssigkeitsdurchgang (13) durch die erste Öffnung (23) und in den Schlauch (20) fließen wird, und der Reihe nach von dem ersten Flüssigkeitsdurchgang (13), durch die zweite Öffnung (26'), durch den zweiten Flüssigkeitsdurchgang (16), und dann durch das Auslaßmittel (18) fließen wird.
  3. Vorrichtung nach Anspruch 1 oder 2, worin das Auslaßmittel eine Vielzahl von Bohrungen (18) im zweiten Ende des länglichen Elementes (10) aufweist.
  4. Vorrichtung nach einem der Ansprüche 1-3, worin ein abgerundeter Stopfen (17) in dem zweiten Flüssigkeitsdurchgang (16) am zweiten Ende des länglichen Elements (10) angeordnet ist.
  5. Vorrichtung nach einem der Ansprüche 1-4, worin das längliche Element (10) gerade ausgebildet ist, bis auf einen gekrümmten Bereich am zweiten Ende desselben.
EP89310241A 1988-10-24 1989-10-06 Uteriner Balloninjektor mit einem Kanal Expired - Lifetime EP0366292B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/261,078 US5100382A (en) 1988-10-24 1988-10-24 Single channel balloon uterine injector
US261078 1988-10-24

Publications (3)

Publication Number Publication Date
EP0366292A2 EP0366292A2 (de) 1990-05-02
EP0366292A3 EP0366292A3 (de) 1991-07-17
EP0366292B1 true EP0366292B1 (de) 1994-08-31

Family

ID=22991866

Family Applications (1)

Application Number Title Priority Date Filing Date
EP89310241A Expired - Lifetime EP0366292B1 (de) 1988-10-24 1989-10-06 Uteriner Balloninjektor mit einem Kanal

Country Status (4)

Country Link
US (1) US5100382A (de)
EP (1) EP0366292B1 (de)
AT (1) ATE110577T1 (de)
DE (1) DE68917852T2 (de)

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8025656B2 (en) 2006-11-07 2011-09-27 Hologic, Inc. Methods, systems and devices for performing gynecological procedures
US8528563B2 (en) 2007-04-06 2013-09-10 Hologic, Inc. Systems, methods and devices for performing gynecological procedures
US8574253B2 (en) 2007-04-06 2013-11-05 Hologic, Inc. Method, system and device for tissue removal
US8647349B2 (en) 2006-10-18 2014-02-11 Hologic, Inc. Systems for performing gynecological procedures with mechanical distension
US8951274B2 (en) 2007-04-06 2015-02-10 Hologic, Inc. Methods of high rate, low profile tissue removal
US9095366B2 (en) 2007-04-06 2015-08-04 Hologic, Inc. Tissue cutter with differential hardness
US9392935B2 (en) 2006-11-07 2016-07-19 Hologic, Inc. Methods for performing a medical procedure
CN105832376A (zh) * 2016-05-11 2016-08-10 杨荣利 一种宫腔止血球囊

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CA2117032A1 (en) * 1993-03-09 1994-09-10 Konstantin L. Valtchev Collar system for uterine manipulator
US5487377A (en) * 1993-11-05 1996-01-30 Clinical Innovation Associates, Inc. Uterine manipulator and manipulator tip assembly
US5382252A (en) * 1994-03-24 1995-01-17 Ethicon Endo-Surgery Transvaginal uterine manipulator
US5645561A (en) * 1994-07-29 1997-07-08 Utah Medical Products, Inc. Uterine manipulator
US6706026B1 (en) 1996-08-09 2004-03-16 Cook Urological Incorporated Instillation uterine catheter
US6827703B1 (en) * 1999-11-24 2004-12-07 Coopersurgical, Inc. Single lumen balloon catheter apparatus
US20040002680A1 (en) * 2002-07-01 2004-01-01 Ackrad Laboratories, Inc. Single lumen balloon catheter apparatus
US20050107818A1 (en) * 2003-11-17 2005-05-19 Valtchev Konstantin L. Vaginal delineation and occlusion device
US7625761B2 (en) * 2004-07-30 2009-12-01 Beckman Coulter, Inc. Flexible reactor
US11903602B2 (en) 2009-04-29 2024-02-20 Hologic, Inc. Uterine fibroid tissue removal device
US9089365B2 (en) 2012-04-26 2015-07-28 Imds Llc Tissue fixation device

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Publication number Priority date Publication date Assignee Title
US8834487B2 (en) 2006-10-18 2014-09-16 Hologic, Inc. Systems and methods for preventing intravasation during intrauterine procedures
US8840625B2 (en) 2006-10-18 2014-09-23 Hologic, Inc. Systems for performing gynecological procedures with closed visualization lumen
US8840626B2 (en) 2006-10-18 2014-09-23 Hologic, Inc. Systems for performing gynecological procedures with simultaneous tissue cutting and removal
US8647349B2 (en) 2006-10-18 2014-02-11 Hologic, Inc. Systems for performing gynecological procedures with mechanical distension
US9392935B2 (en) 2006-11-07 2016-07-19 Hologic, Inc. Methods for performing a medical procedure
US8025656B2 (en) 2006-11-07 2011-09-27 Hologic, Inc. Methods, systems and devices for performing gynecological procedures
US8574253B2 (en) 2007-04-06 2013-11-05 Hologic, Inc. Method, system and device for tissue removal
US8528563B2 (en) 2007-04-06 2013-09-10 Hologic, Inc. Systems, methods and devices for performing gynecological procedures
US8951274B2 (en) 2007-04-06 2015-02-10 Hologic, Inc. Methods of high rate, low profile tissue removal
US9095366B2 (en) 2007-04-06 2015-08-04 Hologic, Inc. Tissue cutter with differential hardness
US9259233B2 (en) 2007-04-06 2016-02-16 Hologic, Inc. Method and device for distending a gynecological cavity
US9301770B2 (en) 2007-04-06 2016-04-05 Hologic, Inc. Systems, methods and devices for performing gynecological procedures
US9339288B2 (en) 2007-04-06 2016-05-17 Hologic, Inc. Uterine fibroid tissue removal device
US9539019B2 (en) 2007-04-06 2017-01-10 Hologic, Inc. Uterine fibroid tissue removal device
CN105832376A (zh) * 2016-05-11 2016-08-10 杨荣利 一种宫腔止血球囊
CN105832376B (zh) * 2016-05-11 2017-12-29 杨荣利 一种宫腔止血球囊

Also Published As

Publication number Publication date
EP0366292A3 (de) 1991-07-17
US5100382A (en) 1992-03-31
EP0366292A2 (de) 1990-05-02
DE68917852T2 (de) 1995-05-04
DE68917852D1 (de) 1994-10-06
ATE110577T1 (de) 1994-09-15

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